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目的:探讨提高5年治愈率的因素。方法将我院1980年~1997年收治卵巢上皮癌68例。采用手术为主配合化疗的综合疗法。经随访5年及10年存活率分别为44.7及43.0%。发现5年存活率Ⅰ期、Ⅱ期、Ⅲ期及Ⅳ期分别为79.4%、54.5%、27.9%及34.8%;粘液性癌及浆液性癌分别为53.6%及34.8%,低分化癌预后最差;40岁以下及40岁以上分别为57.9%及41.9%;无残留癌、残留癌直径<2cm及>2cm分别为68.0%、44.5%及19.4%。结果表明,临床分期、残留癌及组织学类型,为影响预后的重要因素,年龄对预后有一定影响。
Objective: To explore the factors that increase the cure rate of 5 years. Methods The hospital from 1980 to 1997, 68 cases of epithelial ovarian cancer. The main use of surgery with chemotherapy combined therapy. The 5-year follow-up and 10-year survival rates were 44.7% and 43.0% respectively. The 5-year survival rates were 79.4%, 54.5%, 27.9% and 34.8% in stage Ⅰ, Ⅱ, Ⅲ and Ⅳ, respectively. The rates of myxoid and serous carcinoma were 53.6 % And 34.8%, respectively. The poor prognosis of poorly differentiated carcinoma was the worst; 57.9% and 41.9% respectively under 40 years of age and 40 years of age; no residual cancer, residual cancer <2cm and> 2cm were 68.0 %, 44.5% and 19.4% respectively. The results showed that the clinical stage, residual cancer and histological types, as an important factor affecting the prognosis, the age of a certain impact on prognosis.